Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.08 / $173.08 / $1,195.42	Facility		$173.08	$173.08	$1,195.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $173.08 / $204.09	Professional		$140.75	$173.08	$204.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.79 / $288.00 / $568.95	Facility		$113.79	$288.00	$568.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.45 / $124.45 / $124.45	Professional		$124.45	$124.45	$124.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,767.92 / $1,767.92 / $1,767.92	Facility		$1,767.92	$1,767.92	$1,767.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.82 / $161.82 / $161.82	Facility		$161.82	$161.82	$161.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $161.82 / $161.82	Professional		$100.00	$161.82	$161.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $323.39 / $389.68 / $624.29	Facility		$323.39	$389.68	$624.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $119.42 / $166.00 / $247.50	Facility		$119.42	$166.00	$247.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $132.97 / $132.97 / $140.75	Professional		$132.97	$132.97	$140.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.71 / $161.82 / $247.50	Facility		$136.71	$161.82	$247.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.97 / $161.82 / $161.82	Professional		$132.97	$161.82	$161.82
United Facility/Professional Professional Modifier Low / Median / High Price $137.26 / $170.49 / $173.08	Professional		$137.26	$170.49	$173.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $141.76 / $190.01	Professional		$140.75	$141.76	$190.01